NR 328 PRACTICE EXAMS PAPER ANSWERS AND
QUESTIONS SET A+
✔✔What are the advantages of an implanted port (Port-a-Cath)? - ✔✔Reduced risk of
infection
Reduced cost for the family
Placed completely under the skin
✔✔What play activities should the nurse implement to encourage fluid intake for a
child? - ✔✔Have a tea party.
Use a crazy straw.
Cut gelatin into fun shapes.
Make ice pops using the child's favorite juice.
✔✔Urinary tract anomalies are frequently associated with what irregularities in fetal
development? - ✔✔Malformed or low-set ears
✔✔What urine test result is considered abnormal? - ✔✔pH 4.0
✔✔What diagnostic test allows visualization of renal parenchyma and renal pelvis
without exposure to external-beam radiation or radioactive isotopes? - ✔✔Renal
ultrasonography
✔✔What name is given to inflammation of the bladder? - ✔✔Cystitis
✔✔The nurse is teaching a client to prevent future urinary tract infections (UTIs). What
factor is most important to emphasize as the potential cause? - ✔✔Urinary stasis
✔✔A girl, age 5 1/2 years, has been sent to the school nurse for urinary incontinence
three times in the past 2 days. The nurse should recommend to her parent that the first
action is to have the child evaluated for what condition? - ✔✔Urinary tract infection
(UTI)
,✔✔What recommendation should the nurse make to prevent urinary tract infections
(UTIs) in young girls? - ✔✔What recommendation should the nurse make to prevent
urinary tract infections (UTIs) in young girls?
✔✔In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis
related to vesicoureteral reflux (VUR), the nurse should include which information? -
✔✔Have siblings examined for VUR.
✔✔What pathologic process is believed to be responsible for the development of
postinfectious glomerulonephritis? - ✔✔Immune complex formation and glomerular
deposition
✔✔The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for
acute glomerulonephritis. What is the most likely cause of this weight loss? -
✔✔Reduction of edema
✔✔What measure of fluid balance status is most useful in a child with acute
glomerulonephritis? - ✔✔Daily weight
✔✔The parent of a child hospitalized with acute glomerulonephritis asks the nurse why
blood pressure readings are being taken so often. What knowledge should influence the
nurses reply? - ✔✔Acute hypertension is a concern that requires monitoring.
✔✔What laboratory finding, in conjunction with the presenting symptoms, indicates
minimal change nephrotic syndrome? - ✔✔Reduced serum albumin
✔✔What is the primary objective of care for the child with minimal change nephrotic
syndrome (MCNS)? - ✔✔Minimize excretion of urinary protein.
✔✔A hospitalized child with minimal change nephrotic syndrome is receiving high doses
of prednisone. What nursing goal is appropriate for this child? - ✔✔Minimize risk of
infection.
✔✔The nurse is teaching a child experiencing severe edema associated with minimal
change nephrotic syndrome about his diet. The nurse should discuss what dietary
need? - ✔✔Restricting fluids
✔✔A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse
recognizes that the childs prognosis is related to what factor? - ✔✔Response to steroid
therapy
,✔✔A 12-year-old child is injured in a bicycle accident. When considering the possibility
of renal trauma, the nurse should consider what factor? - ✔✔The amount of hematuria
is not a reliable indicator of the seriousness of renal injury.
✔✔What condition is the most common cause of acute renal failure in children? -
✔✔Severe dehydration
✔✔A child is admitted in acute renal failure (ARF). Therapeutic management to rapidly
provoke a flow of urine includes the administration of what medication? - ✔✔Mannitol
(Osmitrol) or furosemide (Lasix) (or both)
✔✔What major complication is associated with a child with chronic renal failure? -
✔✔Water and sodium retention
✔✔What diet is most appropriate for the child with chronic renal failure (CRF)? - ✔✔Low
in phosphorus
✔✔What nursing consideration is most important when caring for a child with end-stage
renal disease (ESRD)? - ✔✔Multiple stresses are placed on children with ESRD and
their families because childrens lives are maintained by drugs and artificial means.
✔✔The nurse is caring for an adolescent who has just started dialysis. The child always
seems angry, hostile, or depressed. The nurse should recognize that this is most likely
related to what underlying cause? - ✔✔Resentment of the control and enforced
dependence imposed by dialysis
✔✔What statement is an advantage of peritoneal dialysis compared with hemodialysis?
- ✔✔It is easy to learn and safe to perform.
✔✔What statement is descriptive of renal transplantation in children? - ✔✔It is the
preferred means of renal replacement therapy in children.
✔✔The nurse is conducting discharge teaching with the parent of a 7-year-old child with
minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a
correct understanding of the teaching? - ✔✔I should not add additional salt to any of my
childs meals.
✔✔What is the narrowing of preputial opening of foreskin called? - ✔✔Phimosis
✔✔Identification and treatment of cryptorchid testes should be done by age 2 years.
What is an important consideration? - ✔✔Treatment is necessary to maintain the ability
to be fertile when older.
, ✔✔Congenital defects of the genitourinary tract, such as hypospadias, are usually
repaired as early as possible to accomplish what? - ✔✔Promote development of normal
body image.
✔✔The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth
ask when they can begin toilet training their son. The nurse replies based on what
knowledge? - ✔✔Additional surgery may be necessary to achieve continence.
✔✔An infant has been diagnosed with bladder obstruction. What do symptoms of this
disorder include? - ✔✔Posturination dribbling
✔✔The parents of a child born with ambiguous genitalia tell the nurse that family and
friends are asking what caused the baby to be this way. Tests are being done to assist
in gender assignment. What should the nurses intervention include? - ✔✔Explain the
disorder so they can explain it to others.
✔✔Parents of a newborn with ambiguous genitalia want to know how long they will
have to wait to know whether they have a boy or a girl. The nurse answers the parents
based on what knowledge? - ✔✔Gender assignment involves collaboration between the
parents and a multidisciplinary team.
✔✔Surgery is performed on a child to correct cryptorchidism. The parents understand
the reason for the surgery if they tell the nurse this was done to do what? - ✔✔Prevent
damage to the undescended testicle.
✔✔What is an appropriate nursing intervention for a child with minimal change
nephrotic syndrome (MCNS) who has scrotal edema? - ✔✔Elevate the scrotum with a
rolled washcloth.
✔✔What do the clinical manifestations of minimal change nephrotic syndrome include?
- ✔✔What do the clinical manifestations of minimal change nephrotic syndrome
include?
✔✔For minimal change nephrotic syndrome (MCNS), prednisone is effective when what
occurs? - ✔✔Diuresis occurs as urinary protein excretion diminishes
✔✔A nurse is evaluating the effectiveness of teaching regarding care of a child with
minimal change nephrotic syndrome (MCNS) that is in remission after administration of
prednisone. The nurse realizes further teaching is required if the parents state what? -
✔✔We understand our child will not be able to attend school, so we will arrange for
home schooling.
QUESTIONS SET A+
✔✔What are the advantages of an implanted port (Port-a-Cath)? - ✔✔Reduced risk of
infection
Reduced cost for the family
Placed completely under the skin
✔✔What play activities should the nurse implement to encourage fluid intake for a
child? - ✔✔Have a tea party.
Use a crazy straw.
Cut gelatin into fun shapes.
Make ice pops using the child's favorite juice.
✔✔Urinary tract anomalies are frequently associated with what irregularities in fetal
development? - ✔✔Malformed or low-set ears
✔✔What urine test result is considered abnormal? - ✔✔pH 4.0
✔✔What diagnostic test allows visualization of renal parenchyma and renal pelvis
without exposure to external-beam radiation or radioactive isotopes? - ✔✔Renal
ultrasonography
✔✔What name is given to inflammation of the bladder? - ✔✔Cystitis
✔✔The nurse is teaching a client to prevent future urinary tract infections (UTIs). What
factor is most important to emphasize as the potential cause? - ✔✔Urinary stasis
✔✔A girl, age 5 1/2 years, has been sent to the school nurse for urinary incontinence
three times in the past 2 days. The nurse should recommend to her parent that the first
action is to have the child evaluated for what condition? - ✔✔Urinary tract infection
(UTI)
,✔✔What recommendation should the nurse make to prevent urinary tract infections
(UTIs) in young girls? - ✔✔What recommendation should the nurse make to prevent
urinary tract infections (UTIs) in young girls?
✔✔In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis
related to vesicoureteral reflux (VUR), the nurse should include which information? -
✔✔Have siblings examined for VUR.
✔✔What pathologic process is believed to be responsible for the development of
postinfectious glomerulonephritis? - ✔✔Immune complex formation and glomerular
deposition
✔✔The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for
acute glomerulonephritis. What is the most likely cause of this weight loss? -
✔✔Reduction of edema
✔✔What measure of fluid balance status is most useful in a child with acute
glomerulonephritis? - ✔✔Daily weight
✔✔The parent of a child hospitalized with acute glomerulonephritis asks the nurse why
blood pressure readings are being taken so often. What knowledge should influence the
nurses reply? - ✔✔Acute hypertension is a concern that requires monitoring.
✔✔What laboratory finding, in conjunction with the presenting symptoms, indicates
minimal change nephrotic syndrome? - ✔✔Reduced serum albumin
✔✔What is the primary objective of care for the child with minimal change nephrotic
syndrome (MCNS)? - ✔✔Minimize excretion of urinary protein.
✔✔A hospitalized child with minimal change nephrotic syndrome is receiving high doses
of prednisone. What nursing goal is appropriate for this child? - ✔✔Minimize risk of
infection.
✔✔The nurse is teaching a child experiencing severe edema associated with minimal
change nephrotic syndrome about his diet. The nurse should discuss what dietary
need? - ✔✔Restricting fluids
✔✔A child is admitted for minimal change nephrotic syndrome (MCNS). The nurse
recognizes that the childs prognosis is related to what factor? - ✔✔Response to steroid
therapy
,✔✔A 12-year-old child is injured in a bicycle accident. When considering the possibility
of renal trauma, the nurse should consider what factor? - ✔✔The amount of hematuria
is not a reliable indicator of the seriousness of renal injury.
✔✔What condition is the most common cause of acute renal failure in children? -
✔✔Severe dehydration
✔✔A child is admitted in acute renal failure (ARF). Therapeutic management to rapidly
provoke a flow of urine includes the administration of what medication? - ✔✔Mannitol
(Osmitrol) or furosemide (Lasix) (or both)
✔✔What major complication is associated with a child with chronic renal failure? -
✔✔Water and sodium retention
✔✔What diet is most appropriate for the child with chronic renal failure (CRF)? - ✔✔Low
in phosphorus
✔✔What nursing consideration is most important when caring for a child with end-stage
renal disease (ESRD)? - ✔✔Multiple stresses are placed on children with ESRD and
their families because childrens lives are maintained by drugs and artificial means.
✔✔The nurse is caring for an adolescent who has just started dialysis. The child always
seems angry, hostile, or depressed. The nurse should recognize that this is most likely
related to what underlying cause? - ✔✔Resentment of the control and enforced
dependence imposed by dialysis
✔✔What statement is an advantage of peritoneal dialysis compared with hemodialysis?
- ✔✔It is easy to learn and safe to perform.
✔✔What statement is descriptive of renal transplantation in children? - ✔✔It is the
preferred means of renal replacement therapy in children.
✔✔The nurse is conducting discharge teaching with the parent of a 7-year-old child with
minimal change nephrotic syndrome (MCNS). What statement by the parent indicates a
correct understanding of the teaching? - ✔✔I should not add additional salt to any of my
childs meals.
✔✔What is the narrowing of preputial opening of foreskin called? - ✔✔Phimosis
✔✔Identification and treatment of cryptorchid testes should be done by age 2 years.
What is an important consideration? - ✔✔Treatment is necessary to maintain the ability
to be fertile when older.
, ✔✔Congenital defects of the genitourinary tract, such as hypospadias, are usually
repaired as early as possible to accomplish what? - ✔✔Promote development of normal
body image.
✔✔The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth
ask when they can begin toilet training their son. The nurse replies based on what
knowledge? - ✔✔Additional surgery may be necessary to achieve continence.
✔✔An infant has been diagnosed with bladder obstruction. What do symptoms of this
disorder include? - ✔✔Posturination dribbling
✔✔The parents of a child born with ambiguous genitalia tell the nurse that family and
friends are asking what caused the baby to be this way. Tests are being done to assist
in gender assignment. What should the nurses intervention include? - ✔✔Explain the
disorder so they can explain it to others.
✔✔Parents of a newborn with ambiguous genitalia want to know how long they will
have to wait to know whether they have a boy or a girl. The nurse answers the parents
based on what knowledge? - ✔✔Gender assignment involves collaboration between the
parents and a multidisciplinary team.
✔✔Surgery is performed on a child to correct cryptorchidism. The parents understand
the reason for the surgery if they tell the nurse this was done to do what? - ✔✔Prevent
damage to the undescended testicle.
✔✔What is an appropriate nursing intervention for a child with minimal change
nephrotic syndrome (MCNS) who has scrotal edema? - ✔✔Elevate the scrotum with a
rolled washcloth.
✔✔What do the clinical manifestations of minimal change nephrotic syndrome include?
- ✔✔What do the clinical manifestations of minimal change nephrotic syndrome
include?
✔✔For minimal change nephrotic syndrome (MCNS), prednisone is effective when what
occurs? - ✔✔Diuresis occurs as urinary protein excretion diminishes
✔✔A nurse is evaluating the effectiveness of teaching regarding care of a child with
minimal change nephrotic syndrome (MCNS) that is in remission after administration of
prednisone. The nurse realizes further teaching is required if the parents state what? -
✔✔We understand our child will not be able to attend school, so we will arrange for
home schooling.
